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Moving beyond a figurative psychedelic literacy: Metaphors of psychiatric symptoms in ayahuasca narratives.

Alex K. Gearin

Social Science & Medicine October 1, 2023 DOI: 10.1016/j.socscimed.2023.116171 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Peer reviewed
Population International guests at an ayahuasca healing center in Pucallpa, Peru
Intervention Ayahuasca
Topics Ayahuasca Psychedelic-assisted therapy
Keywords Integration Metaphor Narrative medicine Ontology Psychedelic-healing psychedelic therapy Plant medicine therapy Entheogenic healing Narrative-medicine storytelling therapy Therapeutic narratives Healing stories Ayahuasca-ceremony ayahuasca ritual
Citations 6
Key findings Conceptual metaphors in ayahuasca narratives express reappraisal, overcoming, and sometimes emboldening of psychiatric symptoms, suggesting an intrinsic metaphoricity of psychedelic experiences.

Abstract

Metaphors, analogies, and similes commonly appear in narratives of drinking the potent psychedelic "ayahuasca", presenting an intriguing transcultural pattern. Based upon survey and field research at an ayahuasca healing center in Pucallpa, Peru, the article investigates conceptual metaphors in narratives of ayahuasca experiences made by the visiting international guests. Bodily metaphors and visionary analogies frequently appear in narrative plots where they can express the reappraisal, overcoming, and sometimes emboldening of symptoms diagnosed by psychiatry. Moving beyond the literal-figurative divide, the article explores the intrinsic "metaphoricity" of psychedelic experiences and advocates for a literacy of conceptual metaphors regarding both clinical and non-clinical psychedelic narratives. Developing this literacy can broaden approaches in psychedelic psychiatry that analyze and treat syndromes and disorders, while also being applicable to social science and humanities research that examine psychoactive drug use beyond medical frameworks.

Comparable studies

Other qualitative studies on ayahuasca, most cited first.

Study Year Design Participants
The antipodes Of the mind Indigenous people, shamans, members of different religious sects using Ayahuasca, and... 2002 Qualitative study
Drug Tourism or Spiritual Healing? Ayahuasca Seekers in Amazonia Westerners participating in an ayahuasca retreat in Amazonia 2005 Qualitative study
Therapeutic Effects of Ritual Ayahuasca Use in the Treatment of Substance Dependence—Qualitative Results Therapists, expert researchers, and individuals who underwent ayahuasca-assisted... 2014 Qualitative study n = 29
Nourishing the Spirit: Exploratory Research on Ayahuasca Experiences along the Continuum of Recovery from Eating Disorders Individuals previously diagnosed with an eating disorder 2017 Qualitative study n = 16
Exploring ayahuasca‐assisted therapy for addiction: A qualitative analysis of preliminary findings among an Indigenous community in Canada Indigenous adults in Canada who participated in ayahuasca-assisted ceremonial retreats 2019 Qualitative study n = 11

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